Dental Professionals of Virginia, P.C.
NPI 1336655315ActiveOrganization· Dentist, General Practice· Williamsburg, VA
Dentist, General Practice in Williamsburg, Virginia, registered in NPPES in December 2017, part of Dental Professionals of Virginia, P.C. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1336655315 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Virginia, P.C. |
| NPI issued | Dec 28, 2017 |
| Last updated in NPPES | Dec 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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